CRFQ DOT2200000037 Exhibit B Equipment Questionnaire.doc
DOC document 32 KB Posted
- Solicitation number
- CRFQ-0803-DOT2200000037-4
- Issued by
- Taylor County, West Virginia
About this file
This document is an EXHIBIT B EQUIPMENT PREVENTATIVE MAINTENANCE QUESTIONNAIRE that must be completed by the successful bidder or manufacturer's technical representative prior to delivery to the West Virginia Department of Highways (WVDOH) for CRFQ DOT2200000037. The questionnaire requests detailed information about the equipment, including the description, make, model, year, purchase amount, engine details, belts, unit dimensions, vendor contact information, and various parts and lubricants. This information is required to be provided for the equipment that will be delivered as part of the contract.
The document does not contain any pricing terms, set asides, information about incumbents, funding requirements or sources, or other salient contractual details. It is solely focused on collecting technical specifications and maintenance information about the equipment that will be provided under the contract.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
EXHIBIT B
EQUIPMENT PREVENTATIVE MAINTENANCE QUESTIONNAIRE
THIS FORM MUST BE COMPLETED IN ITS ENTIRETY BY SUCCESSFUL BIDDER OR MANUFACTURER’S TECHNICAL REPRESENTATIVE PRIOR TO DELIVERY TO THE WVDOH.
DESCRIPTION: _______________________________________
MAKE: ___________________________________
MODEL: ________________________
YEAR: __________
PURCHASE AMOUNT: ______________________
ENGINE:
MAKE: ______________________
MODEL: __________________
FUEL TYPE: _______GALLONS:_______
HORSEPOWER: _______________
CYLINDER: ________
ENGINE SERIAL: __________________________
BELTS:
DESCRIPTION:
PART NUMBERS:
DIMENSIONS OF UNIT:
LENGTH: __________
WIDTH: ______________
HEIGHT: ___________
VENDOR CONTACT PERSON: ____________________________________
PHONE: __________________________
PARTS:
BATTERY MAKE: ____________________
MODEL: ___________________
CCA: _______________________
SPARK PLUGS OR FUEL INJECTORS MAKE: ______________
PART # __________________________________________
FUEL PUMP OR INJECTION PUMP MAKE: ________________
MODEL: _________________________________________
ALTERNATOR MAKE: __________________________________
PART #:__________________________________________
STARTER MAKE: ______________________________________
PART #: _________________________________________
TURBO CHARGER MAKE: ______________________________
PART #: _________________________________________
TRANS. MAKE: ____________________
MODEL: _________________________ AUTO/MANUAL: ____________________
HYDRAULIC PUMP MAKE: _____________________________
MODEL: _________________________________________
FILTERS
MAKE
PART NO.
LUBRICANT
MANUFACTURER TYPE
OIL
ENGINE OIL WEIGHT
AIR INNER
TRANSMISSION FLUID TYPE______________________________
AIR OUTER__________________________________
POWER STEERING FLUID TYPE____________________________
FUEL PRIMARY ______________________________
HYDRAULIC OIL WEIGHT_________________________________
FUEL SECONDARY ___________________________
DIFFERENTIALS OIL WEIGHT_____________________________
COOLANT
BRAKE FLUID TYPE______________________________________
HYDRAULIC
COOLANT TYPE__________________________________________
OTHER
OTHER
OTHER______________________________________ OTHER __________________________________________________
OTHER______________________________________ OTHER___________________________________________________
OTHER______________________________________ OTHER___________________________________________________
File details come from the government source that posted it. Updated .